Monday, October 18

8:15 – 9:15 am | GENERAL SESSION

Physician Compliance Update from the Office of Inspector General

David M. Blank, Senior Counsel, Office of Counsel to the Inspector General, Administrative and Civil Remedies Branch Division, Department of Health and Human Services

presentation, evaluation survey

9:30 – 10:30 am | GENERAL SESSION

Tools and Trends in Physician Health Care Fraud Investigations

Sean R. McKenna, Assistant U.S. Attorney, Department of Justice

presentation, evaluation survey

• Physician risk areas that could result in fraud investigations
  
• Compliance activities that can assist physicians during fraud investigations
  
• Compliance efforts that could reduce or minimize the adverse effects of fraud investigations

11:00 am – 12:00 pm | Concurrent Breakouts

101 RACs: Are You Ready?

Marie Moseley, BSN, CNNP, MPH, JD, UHS Regulatory Affairs Specialist/Privacy Officer, University Health Systems of Eastern Carolina, Inc.
Tamara Rodriguez, Partner, Vidaurri, Lyde, Rodriguez & Haynes, LLP

presentation, handout 1, handout 2, handout 3, handout 4, handout 5, handout 6, handout 7, handout 8,handout 9,
handout 10, handout 11, handout 12, handout 13, handout 14, handout 15, handout 16, evaluation survey

• The Basics of RAC Audits
  
• How the Process Works
  
• Recoupment & Appeals

102 Pointers & Pitfalls in Gaining Physician Buy-in to a Compliance Program

Robert H. Ossoff, DMD, MD, CHC, Assistant Vice-Chancellor for Compliance and Corporate Integrity, Maness Professor of Laryngology and Voice, Vanderbilt Medical Center

presentation, evaluation survey

• Learn "conversation starters" to improve your interactions with physicians
  
• Develop successful physician-compliance office relationships
  
• Develop, utilize and leverage your physician champion relationships

12:00 – 1:00 pm | Networking Lunch

1:00 – 2:00 pm | Concurrent Breakouts

201 Preparing the Physician Practice for ICD-10

Caroline Rader, Associate Director, Navigant Consulting, Inc.
Susan Allen, MBA, CPC, CCS-P, Managing Consultant, Healthcare, Navigant Consulting, Inc.

presentation, handout 1, handout 2, handout 3, evaluation survey

• An overview of the adoption of ICD-10 for the physician practice and its impact
• Provides a thorough understanding of the costs of the adoption of ICD-10
  
• Walk away with a preparation checklist, budget and implementation plan

202 Developing Standards for Physician Audits

Angela Brown, CHCA, CHC, CCS-P, PCS, HSC Deputy Compliance Officer, HSC Interim Compliance Audit Manager, University of Louisville Health Sciences Center Office of Compliance

presentation, evaluation survey

• What are you auditing?
  
• How are you auditing?
  
• How to build an Auditing Reference Binder

2:30 – 3:30 pm | Concurrent Breakouts

301 The ABC’s of ABN’s

Angela Brown, CHCA, CHC, CCS-P, PCS, HSC Deputy Compliance Officer, HSC Interim Compliance Audit Manager, University of Louisville Health Sciences Center Office of Compliance

presentation, handout 1, handout 2, evaluation survey

• When you should obtain an ABN every time—and why it's OK
  
• Simplify your approach and maximize the benefit to your practice and your patients
  
• Training staff, monitoring success, retraining, and the essentials of a good ABN plan

302 Compliance Work Plan for Physicians

Aletheia Lawry, JD, LL.M, CHC, Senior Business Practices Analyst, The Methodist Hospital System

presentation, evaluation survey

• What must you provide when your patient asks for copies of their medical record?
  
• Is your use of outside debt collection agencies compliant?
  
• Find the answers to these and other non-billing compliance questions.

4:00 – 5:00 pm | Concurrent Breakouts

401 Doing More with Less in Today’s Economy, Obstacle or Opportunity?

Bren Odell, EthicsPoint

presentation, evaluation survey

• A downsized experience can lead to positive outcomes
  
• Turn operational compliance “silos” in to “synergies”
  
• How basic low cost automation can provide immediate ROI

402 Dangerous Documentation

Carolyn C. Avery, CPC,CEMC, Manager of Coding and Compliance, Carter, Lankford CPAs, PC
Kathy Rowland, CPC, CEMC , CHC, MCS-P, Health Care Compliance Consultant, Integrity Compliance LLC

presentation, handout 1, evaluation survey

• Learn how to identify high risk areas in evaluation and management visits
  
• Understand the areas of liability for the coder and billing staff
  
• Develop solutions with hands on exercises to help apply what you have learned

Tuesday, October 19

8:15 – 9:15 am | GENERAL SESSION

Effectiveness: Physician Compliance

Kimberly Brandt, CHC, Counsel, Alston & Bird LLP

presentation, evaluation survey

9:15 – 9:30 am | Break

9:30 – 10:30 am | GENERAL SESSION

Medicaid Compliance

James Sheehan, Medicaid Inspector General, New York State Office of the Medicaid Inspector General

presentation, evaluation survey

11:00 am – 12:00 pm | Concurrent Breakouts

501 Physician Conflicts of Interest

Paul Belton, Vice President, Corporate Compliance, Sharp HealthCare

presentation, evaluation survey

• Recent enforcement activity: the consequences of not addressing the issue
  
• Physician-industry relationships: risk or benefit to the organization?
  
• What should healthcare organizations do before the government steps in?

502 Office Visit Coding Without Consults

Bess Ann Bredemeyer, BSN, RN, CHC, CPC, PCS, Director, Compliance Services, McKesson Practice Consulting Solutions, McKesson Corporation
Mary Whalen, MBA, CPA, BSN, CHC, CCSP, CHP, FACHE, FHFMA, President, Whalen Consulting, LLC

presentation, evaluation survey

• Identify how to bill when you can’t bill Consultation Codes but you provided a consultation service
• Identify instances when Consultation Codes may be utilized
• Increased impact of coding accuracy

1:00 – 2:00 pm | Concurrent Breakouts

601 Stark Law, Anti-Kick Back Statute and False Claims Act-Enforcement

Jay P. Anstine, Director, Corporate Compliance, The Imaging Center

presentation, evaluation survey

• To reduce your organization's risk associated with certain prohibited self-referrals
• To improve your organization's compliance activities associated with monitoring Fraud & Abuse
• To provide insight and tips for navigating Stark in light of business realities

602 Practicing in an Era of Increased Government Enforcement: Tips to Avoid the Pitfalls

George B. Breen, Member, Epstein Becker & Green, P.C.

presentation, evaluation survey

• How changes to, and enforcement of, the Federal False Claims Act impacts your practice
  
• What the state enforcers are doing to pursue health care providers
  
• How to use recent CIA's to bolster your own compliance programs

2:15 – 3:15 pm | Concurrent Breakouts

701 Tom’s Top Ten (Weaknesses in the Physician Revenue Cycle)

Tom Ealey, Associate Professor, Alma College

presentation, evaluation survey

• Targeted information on typical revenue cycle weaknesses
  
• Best practices are highlighted to improve revenue and compliance
  
• Take homes include useful tools to quickly improve practices

702 Compliance: Flying Solo

Teri Morris, Compliance Officer, Cherokee Indian Hospital

presentation, evaluation survey

• Are you a one-person Compliance Office?  Valuable lessons learned in a one person compliance office will be discussed.
• If you are just beginning your flight into the field of Compliance and need guidance this session is for you.
• Tools and policies will be provided to participants to assist the one-person compliance officer.